Ability of a 24-h ambulatory cuffless blood pressure monitoring device to track blood pressure changes in clinical practice.
J Hypertens
; 42(4): 662-671, 2024 Apr 01.
Article
em En
| MEDLINE
| ID: mdl-38288945
ABSTRACT
OBJECTIVE:
There is an increasing number of cuffless blood pressure (BP) measurement (BPM) devices. Despite promising results when comparing single measurements, the ability of these devices to track changes in BP levels over 24âh related to an initial calibration BP (CalibBP) is unknown. Our aim was to analyse this ability in a cuffless device using pulse transit time.METHODS:
We prospectively enrolled 166 participants for simultaneously performed cuffless (Somnotouch-NIBP) and cuff-based (Spacelabs 90217A/IEM Mobil-O-graph) 24âh BPM. As CalibBP for the cuffless device, first cuff-based BP was used. As surrogate for changes in BP levels after the CalibBP, we used the difference between the CalibBP and mean 24âh, awake and asleep BP measured by the two devices. In addition, we analysed the relationship between the difference of the CalibBP and the cuff-based BPM versus the difference between the cuff-based and the cuffless BPM devices.RESULTS:
Mean(SD) difference between the CalibBP and mean 24hBP by the cuff-based or cuffless BP device were 7.4 (13.2) versus 1.8 (8.3) mmHg for systolic ( P â<â0.0001) and 6.6 (6.8) versus 1.6 (5.8) mmHg for diastolic ( P â<â0.0001). A near linear relationship was seen among the difference between the CalibBP and the cuff-based BPM values and the difference between the cuff-based and cuffless BPM device.CONCLUSION:
Our data indicate a lower ability of the cuffless BPM device to track changes of BP levels after CalibBP. In addition, cuffless device accuracy was associated with the changes in BP levels after the initial CalibBP - the larger the BP level change, the larger the difference between the devices. REGISTRATION https//www.clinicaltrials.gov ; Unique identifier NCT03054688; NCT03975582.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Determinação da Pressão Arterial
/
Monitorização Ambulatorial da Pressão Arterial
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article